Should I consider surgery to determine if I have endometriosis? (Ask The Egg Whisperer)

In today’s Ask The Egg Whisperer podcast episode, Fernanda asks a question about endometriosis: “Can surgery help determine if I have endometriosis? We have been trying to conceive for over 5 years now. Everything seems to be fine with us both, the only thing left for us to do is for me to have surgery to check for endometriosis.  Is this something that you would recommend? Thank you so much!”

I love Fernanda’s question.

Yes! Patients with endometriosis may benefit from surgery. But first, go back and double check that she’s taken a look at everything I cover in a TUSHY check. She says she’s been trying for over five years, so here’s what I’d recommend before surgery:

Check your tubes and do an ultrasound of the uterus and find out your follicle count. 

Make sure that there's no anatomic abnormalities: polyps, fibroids, or septum.

Look at the sperm quality again, maybe do a sperm DNA fragmentation test. 

Look at all your preconception labs, including hormones, not just the FSH, estradiol, and  AMH, but also  thyroid vitamin D and prolactin. 

Last but not least, make sure you've done enough genetic screening: chromosome analysis and carrier screens..

If you want to hear my full answer to Fernanda’s question, you can tune into episode 292 on the podcast, and go to the 10 minute mark. And, you’ll also hear my answer to 20 more questions, all sent in by listeners.

To submit your own question to Dr. Aimee for a future episode of Ask The Egg Whisperer, click here. 

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